Diagnosis and management of radiation cholecystitis as a complication of Y90 radioembolization for hepatocellular carcinoma

Joe Khoury, DO, MBA; Brenden Li, BS; Joyce Zhu, BS; Trevor Lin, BS; Eusha Hasan, BA; Ashley Lamba, BS; Vaiva Gustainyte, DO; Hakob Kocharyan, MD; Christopher Yeisley, MD; Elias Salloum, MD; Altan Ahmed, MD; Craig Greben, MD; Mustafa Al-Roubaie, MD

Radiology Case Reports (Aug 2024)

Diagnosis and management of radiation cholecystitis as a complication of Y90 radioembolization for hepatocellular carcinoma

Joe Khoury, DO, MBA,
Brenden Li, BS,
Joyce Zhu, BS,
Trevor Lin, BS,
Eusha Hasan, BA,
Ashley Lamba, BS,
Vaiva Gustainyte, DO,
Hakob Kocharyan, MD,
Christopher Yeisley, MD,
Elias Salloum, MD,
Altan Ahmed, MD,
Craig Greben, MD,
Mustafa Al-Roubaie, MD

Affiliations

Joe Khoury, DO, MBA: Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, NY 11549, USA
Brenden Li, BS: University of South Florida Morsani, College of Medicine, 560 Channelside Dr, Tampa, FL 33602, USA; Corresponding author.
Joyce Zhu, BS: University of South Florida Morsani, College of Medicine, 560 Channelside Dr, Tampa, FL 33602, USA
Trevor Lin, BS: University of South Florida Morsani, College of Medicine, 560 Channelside Dr, Tampa, FL 33602, USA
Eusha Hasan, BA: Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, NY 11549, USA
Ashley Lamba, BS: Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, NY 11549, USA
Vaiva Gustainyte, DO: Moffitt Cancer Center, University of South Florida Morsani College of Medicine, 12902 USF Magnolia Drive, Tampa, FL,33612, USA
Hakob Kocharyan, MD: Moffitt Cancer Center, University of South Florida Morsani College of Medicine, 12902 USF Magnolia Drive, Tampa, FL,33612, USA
Christopher Yeisley, MD: David Grant USAF Medical Center, 101 Bodin Cir, Fairfield, CA 94533, USA
Elias Salloum, MD: Moffitt Cancer Center, University of South Florida Morsani College of Medicine, 12902 USF Magnolia Drive, Tampa, FL,33612, USA
Altan Ahmed, MD: Moffitt Cancer Center, University of South Florida Morsani College of Medicine, 12902 USF Magnolia Drive, Tampa, FL,33612, USA
Craig Greben, MD: Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, NY 11549, USA
Mustafa Al-Roubaie, MD: Moffitt Cancer Center, University of South Florida Morsani College of Medicine, 12902 USF Magnolia Drive, Tampa, FL,33612, USA

Journal volume & issue: Vol. 19, no. 8
pp. 3363 – 3366

Abstract

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Radiation induced cholecystitis is a known but rare complication of Yttrium90 (Y90) radioembolization of hepatic tumors due to nontarget embolization. Many documented cases of radiation induced cholecystitis have been treated with cholecystectomy, which is significant given the typical patient population undergoing radioembolization tends to be of higher surgical risk. Here, we present a case of a 68 year old male who developed radiation induced cholecystitis status post hepatic radioembolization that resolved with conservative management alone. This case highlights that radiation induced cholecystitis may be successfully and safely treated conservatively.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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